Acute Porphyria Drug Database

Monograph

N02BA51 - Acetylsalicylic Acid, Combinations Excl. Psycholeptics
Not porphyrinogenic
NP

Rationale
Acetylsalicylic acid: Insignificant CYP 2C9 metabolism. Repeatedly experienced to be safe in acute porphyria. Several references consider it safe. Caffeine: Widely used as beverage, no observations of porphyrinogenic side effects.
Chemical description
Acetylsalicylic acid: Water soluble light analgesic, inhibitor of prostaglandin synthesis. Metabolized by conjugation with glycine. Acetylsalicylic acid: MFM James, RJ Hift. Porphyrias. Br J Anaesth 2000; 85, 143-53: use EPI-list: safe South African list: use French list: use Kalman, Bonkovsky: safe Merck Index: safe Eales L: Porphyria and the dangerous life-threatening drugs. S Afr Med J 56:914,1979: safe. Thunell; patient inquiry: tolerated n=20)
IPNet drug reports
Uneventful use reported in 22 patients with acute porphyria.
Similar drugs
Explore alternative drugs in similar therapeutic classes N02B / N02BA or go back.
Tradenames
This list comprises raw data collected from different countries. In some cases, a more comprehensive list of available drug packages is included. Consequently, very similar terms may therefore appear multiple times. Bold names are the searchable terms, while the gray names that follow are all mapped to the bolded term.
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